HomeMy WebLinkAbout0151894 - HVAC (replace furnace) (9 CITY OF OSHKOSH No 151894
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1316 WAUGOO AVE Owner WILLIAM C RAMSAY
Contractor ALL SEASONS QUALITY HTG& CLG Category 502-Residential-Both Create Date 06/14/2002
Plan
Inspector John Zarate
Fuel U Gas I I j Oil I U Electric Solar 1
u Li i
System ❑ New ( 0 Replace
❑ Other
Lii Forced Air ] ❑ Radiant ❑ Steam
Li A/C❑ Electric j ❑ Hot Water ! ❑ Vent
Suppl. � I I Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable I Value 0
BTU Rate 0 As Per Plan 0 Variable 0 Other
Value
Use/Nature SFR/REPLACE FURNACE ELECTRICIAL WORK DONE BY VAN ERT ELECTRIC '"check#2617
of Work
Fees: Valuation $3,35 00 Plan Approval _ $0.00 Permit Fee Paid
$61.00
Issued By:
Date 08/22/2012
❑ Permit Voided I Parcel Id#0207060000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to sec necessary a v s before starting such activity.
Signature
Date Q,,s 2Z, I a.
Agent/Owner
Address 7394 LIBERTY SCHOOL ROAD OMRO WI 54963 -9623 Telephone Number 920-426-8090 or 68f
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
HVAC PERMIT APPLICATION ON THE WATER
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account fl
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signe
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be by the El
submitted cal
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
1L DATE - I
JOB ADDRESS 12 to LK 1cl�,c Sl- .
OWNER �` ��
CONTRACTOR • • • ft •- ; ; 4_t f
sv
CHECK H ALL APPLICABLE
USE CATEGORY
.- ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL Was DElectric ❑Solid SYSTEM ❑New
DOil ❑Solar / Replace
❑Other
TYPE
/Forced Air DRadiant DSteam ❑A/C ❑Vent DElectric DHot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No gYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ,r, Direct Vent ❑Other
HEAT LOSS DAs Approved at xisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE -
VALUE (Including labor and materials) $ 31 3 'CO•op
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) }Ai_. E* •
(9J ) X33-- 9899
07/07